Organization
FAMILY HEALTH CARE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET A GRAY DPA (PRESIDENT AND CEO)
(601) 825-7280
Entity
Organization
Contact information
Practice address
100 RED CROSS PL, BOGALUSA, LA 70427-3732
(800) 508-7481
(601) 825-8130
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359533
—
LA
Enumeration date
11/12/2013
Last updated
05/03/2024
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